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静息状态脑电图α节律的功能皮质源连接在阿尔茨海默病和帕金森病导致的轻度认知障碍患者中存在相似的异常。

Functional cortical source connectivity of resting state electroencephalographic alpha rhythms shows similar abnormalities in patients with mild cognitive impairment due to Alzheimer's and Parkinson's diseases.

机构信息

Department of Physiology and Pharmacology "Vittorio Erspamer", University of Rome "La Sapienza", Rome, Italy; Institute for Research and Medical Care, IRCCS San Raffaele Pisana di Roma e di Cassino, Rome, Italy.

Department of Integrated Imaging, IRCCS SDN, Naples, Italy.

出版信息

Clin Neurophysiol. 2018 Apr;129(4):766-782. doi: 10.1016/j.clinph.2018.01.009. Epub 2018 Jan 31.

Abstract

OBJECTIVE

This study tested the hypothesis that markers of functional cortical source connectivity of resting state eyes-closed electroencephalographic (rsEEG) rhythms may be abnormal in subjects with mild cognitive impairment due to Alzheimer's (ADMCI) and Parkinson's (PDMCI) diseases compared to healthy elderly subjects (Nold).

METHODS

rsEEG data had been collected in ADMCI, PDMCI, and Nold subjects (N = 75 for any group). eLORETA freeware estimated functional lagged linear connectivity (LLC) from rsEEG cortical sources. Area under receiver operating characteristic (AUROC) curve indexed the accuracy in the classification of Nold and MCI individuals.

RESULTS

Posterior interhemispheric and widespread intrahemispheric alpha LLC solutions were abnormally lower in both MCI groups compared to the Nold group. At the individual level, AUROC curves of LLC solutions in posterior alpha sources exhibited moderate accuracies (0.70-0.72) in the discrimination of Nold vs. ADMCI-PDMCI individuals. No differences in the LLC solutions were found between the two MCI groups.

CONCLUSIONS

These findings unveil similar abnormalities in functional cortical connectivity estimated in widespread alpha sources in ADMCI and PDMCI. This was true at both group and individual levels.

SIGNIFICANCE

The similar abnormality of alpha source connectivity in ADMCI and PDMCI subjects might reflect common cholinergic impairment.

摘要

目的

本研究旨在验证一个假设,即与健康老年人(Nold)相比,轻度认知障碍(ADMCI)和帕金森病(PDMCI)患者静息状态闭眼脑电图(rsEEG)节律的功能皮质源连接的标志物可能存在异常。

方法

ADMCI、PDMCI 和 Nold 受试者(每组 N=75)均采集 rsEEG 数据。eLORETA 免费软件从 rsEEG 皮质源估计功能滞后线性连接(LLC)。接收器操作特性曲线下面积(AUROC)指数用于分类 Nold 和 MCI 个体的准确性。

结果

与 Nold 组相比,两个 MCI 组的后半球间和广泛的半球内 alpha LLC 解均异常降低。在个体水平上,后 alpha 源 LLC 解的 AUROC 曲线在区分 Nold 与 ADMCI-PDMCI 个体方面具有中等准确性(0.70-0.72)。两个 MCI 组之间没有发现 LLC 解的差异。

结论

这些发现揭示了 ADMCI 和 PDMCI 患者在广泛的 alpha 源中估计的功能皮质连接中存在类似的异常。无论是在组还是个体水平上,都是如此。

意义

ADMCI 和 PDMCI 受试者 alpha 源连接的相似异常可能反映了共同的胆碱能损伤。

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